| NPI | 1306472832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA NURMBERG Program Manager 949-282-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2021-01-05 |